Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $4,941.00 / $16,850.00	Facility		$864.00	$4,941.00	$16,850.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,544.00 / $9,274.00	Facility		$1,988.00	$4,544.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,122.07	Facility		$65.90	$100.00	$5,122.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.82 / $120.82 / $120.82	Facility		$120.82	$120.82	$120.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $11.78 / $11.78 / $11.78	Facility	AS	$11.78	$11.78	$11.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $119.03 / $155.25	Professional		$103.50	$119.03	$155.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $121.13 / $201.18	Professional		$94.80	$121.13	$201.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $1,300.00	Facility		$55.00	$1,300.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $23.89 / $51.03 / $51.03	Facility	AS	$23.89	$51.03	$51.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $142.68 / $222.83	Facility		$101.25	$142.68	$222.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $11.78 / $11.78 / $34.29	Facility	AS	$11.78	$11.78	$34.29
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00